Home-based Intervention to Test and Start

Summary

This study aims to establish the causal impact of two interventions - micro-incentives and a male-sensitive HIV- specific decision support app - on population-level HIV viral load and HIV-related mortality in men, as well as on population-based HIV incidence in young women.

Conditions

• HIV
• HIV Testing
• Linkage to Care

Interventions

BEHAVIORAL

micro-incentive

Residents in these communities are eligible to receive a R50 food voucher conditional on undergoing a home-based HIV test. If diagnosed with HIV, residents are eligible to receive a second R50 food voucher when they link to care within 6 weeks of the HIV test

BEHAVIORAL

EPIC-HIV

Men in these communities are eligible to receive a tablet-based male-sensitive HIV decision support app (EPIC-HIV 1)to encourage them to test for HIV at home. If diagnosed with HIV and do not link to care within a month of HIV test, they become eligible to receive a tablet-based male HIV specific decision support app (EPIC-HIV 2) to encourage them to link to HIV care.

BEHAVIORAL

micro-incentive and EPIC-HIV

micro-incentives: Residents in these communities are eligible to receive a R50 food voucher conditional on undergoing a home-based HIV test. If diagnosed with HIV, residents are eligible to receive a second R50 food voucher when they link to care within 6 weeks of the HIV test. EPIC-HIV 1: Men in these communities are eligible to receive a tablet-based male-sensitive HIV specific decision support app (EPIC-HIV 1) to encourage them to test for HIV at home. If diagnosed with HIV and do not link to care within a month of HIV test, they become eligible to receive a tablet-based male HIV specific decision support app (EPIC-HIV 2) to encourage them to link to HIV care.

Sponsors & Collaborators

• Heidelberg University

  collaborator OTHER

• University College, London

  collaborator OTHER

• London School of Hygiene and Tropical Medicine

  collaborator OTHER

• University of Glasgow

  collaborator OTHER

• University of Southampton

  collaborator OTHER

• Africa Health Research Institute

  lead OTHER

Principal Investigators

• Frank Tanser, PhD · Africa Health Research Institute

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

FACTORIAL

Eligibility

Min Age

15 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2018-02-06

Primary Completion

2021-12-31

Completion

2022-12-31

Countries

• South Africa

Study Locations